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Caw <br />�vw <br />i „'j <br />_ Do <br />ADDRESS �ga <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE 2-6, _ <br />(2) PLUMBING 45,acL— <br />(3) MECHANICAL 0, Na <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />q,50 <br />(�d`0 ca (/4o-d ��Rlf� ire I rL3�Cj �'JN P{1 Px rtjn li+t <br />`j ����SS _rrrr��jj_ Y(y m <br />(8) WATER SERVICE TO BE PAID PRIOR TO BUI'_b(NGOPERFAIT ISSU ff' S 5�1d <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR __`� INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO..--- -- <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT----- FOOTAGE-e. E w <br />ORDINANCE 1171.85 <br />WATER <br />C mAk J r hteu,,o $ SEWER <br />howL or I u�, TOTAL ORD. FEE <br />G ZVA-tj(fstulLd ! 41 z <br />D 9&Ui L qq, 5 S' `I r',4A SEWER CONNECTION CHARGES <br />1650 <br />Zy <br />$ <br />1�5o <br />� <br />Y 3 2 d <br />7 IIcg7G <br />zs �_�- <br />4t3 <br />YEAR ____—_ _ TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />( 3a94x <br />